BEVERLY JANIS

PINE RIDGE, SD
NPI1053570341
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SD  p006306)
Enumeration Date2008-06-03
Last Update Date2008-06-03
Business Address
-- BEVERLY JANIS lpn
EAST HWY 18
PINE RIDGE, SD 57770
Phone number: 605-867-5131
Mailing Address
-- BEVERLY JANIS lpn
EAST HWY 18
PINE RIDGE, SD 57770
Phone number: 605-867-5131
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